Tuscaloosa Orthopedic Appliance Co Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

638582 Issued in AL

Legal business name

TUSCALOOSA ORTHOPEDIC APPLIANCE CO INC

Practice address

508 Paul Bryant Dr East Suite a
Tuscaloosa, AL 35401

Phone

(205) 758-5331

Fax

(205) 758-7971

NPI assigned

Feb 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James Carlton Mason

Title

Owner

Phone

(205) 758-5331

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255307419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 PAUL BRYANT DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012057",
            "telephone_number": "205-758-5331",
            "fax_number": "205-758-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 PAUL BRYANT DR EAST SUITE A",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-758-5331",
            "fax_number": "205-758-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCALOOSA ORTHOPEDIC APPLIANCE CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-758-5331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AL",
            "license": "638582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD INSURANCE",
            "identifier": "80888",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52128",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tuscaloosa Primary Care, LLC
• Tuscaloosa Prosthetics & Orthotics

• Customized Equipment (DME) in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Customized Equipment (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.